Provider Demographics
NPI:1992591978
Name:TAYYEH, ADHBA (MBCHB)
Entity type:Individual
Prefix:
First Name:ADHBA
Middle Name:
Last Name:TAYYEH
Suffix:
Gender:
Credentials:MBCHB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 AMBERWOOD DR APT C
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-1926
Mailing Address - Country:US
Mailing Address - Phone:626-734-2945
Mailing Address - Fax:
Practice Address - Street 1:1650 AMBERWOOD DR APT C
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-1926
Practice Address - Country:US
Practice Address - Phone:626-734-2945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program